1990, 12-04 Permit: 90005442 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90005442 '+ i
.± J±..!#'4'•:•J=:'J#•**1t' ,::#..!..d#••f':.!:"•!:s#•It.Jl:.!}::!c Jt.J#..Jh ih.t!•i;9?. PERMIT .i.s;E j:....}?:?~S A ? .i.E..}7`:J Vit,.N..lj:ji.:±!,..::.:{.:,:.3:.:t:t.:±i..•.:,...:.:¢.,..:.:....
SITE
STREET= AVE ..
ADDRESS= SPOKANE 992
SEWERPERMIT USE=
fi':.:'Y SEE ..... *'Jt,.
PLAT4= 00-1393 PLAT 5 ± .,.i M O. ii
BLOCK=
i'
. AREA= 00000000
- OWNER= HERMAN : GARY PHONE=
ADDRESS= SPOKANE}:'ui::. al •f 99206
I! ± i'•lE..: ? :Ji-:E.,'?g,:::c E.t E }. !} i i ... NUMBER=4 E '±
BUILDING SETBACKS : FRONT=: : .... LEFT= r ;,r` RIGHT= !J t:E REAR= ?.t!:r,
i
k 3k :::a:±!:APr : t4!: k k l:!:.PP "iiAP9nnaPERMIT._ n };•§•****.. hP : .. ;. .j . i} 4. . ( . *.
CONTRACTOR= C .i. ?' CONSTRUCTION INC PHONE= 509
. .. ._
STR
SPOKANE E 5TH AVE
ADDRESS= iixjA 99202
ICE
SEWER CONNECTION
pAymENT EuMmARy 'J!:'P:*i'!:: .}!....}!. ±:.Jt..J!..}t,.J,,.J#..Ji; t;§'.!t:!: .':!+-:•f!::!t' ''N:•P:'J!.•*:!#'
PAYMENT DATE
"i.
12/04/90 7720 50 ,0:0
PERMIT
? fit.{.{. TYPE ... . AMOUNT ! } AMOUNT j OWING
.
SEWER PERMIT---------------
,
U t •:.. C' E::'D i.T : JULIE `.">=t-t.:;,i...? i,
PRINTED BY : JULIE S-1ATTO
SEWER 0....U•;.
AS—BUILT INFORMATION IE AVAILABLE AT THE OnUNTY
CONTRACTOR OR APPLICANT IS Tn FIELD LOCATE AND CONFIRM THE
ELEVATION r`EFS}... ± ?..ir Vit: i•S, ti., ii , EWER ETUB PRIOR TO ANY ..: ! . . .
EXCAVATION
E LOCATE.! i 1 jY4 t I 77 . E f E .I 7>•,j2CJ'3 PIPING, wATFR LINES, ECT ,
MA?... BEFORE,,.'1::. Yi,i 1..1 DIG
3
b i - 3
e . ! .
SEWER q
Tig CHECKED PRIOR TO CONNECTION. TO INSURE
a , THFT ARE
CLEAR AND UNOBSTRUCTED
•
# . ; 4 ** CALL kIP ; tftTT N In, -
r.
."A"'),': ****** HOUR' rNf i` I - REQUITED
...i.i.i - .,...n. 45636-04
511k
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SPECIAL CONDITION CHECKLIST
Project
Address: -_' -- __ Project# Use:
Dept: Date: Condition: |nit: Appr:
/ / | (in) } (out)
Dept of Bldgs
Special |nvp Final ! |--- -- {
--' ! --{ --
Hydrant( )
--- - i --| Lock Box , - !
| !
-- --- / --i -- | -
---- / -
Engineer's ! i RID/CRP
_ __' _-
-
Easements
Road Plans/Improvements
} / '
_--_ � --
Bonds
-- -- - --| ' /
! |
-- |
--- ----- | -- � |
Planning ! _- ! __| Bonds
` --| -
( |
' |
---- -- ! --|
Utilities ' � __ Double Plumbing
/ |
ULID
---- | ---' -- --- -
--- --! -- � --! �
---- - ! ' --'
--- --/ -- |
------ - / ---- --! �
Other / |
/ { �
! | '
- | --
`THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE 0FOCCUPANCY ONLY------
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued:__ Certificate of Occupancy issued:
Office file review by: ____ Date:
Filed inapnna|eo by: Date:
--' --- ---- - -- ------- ---
Ninety days after C/O
—minc\yuayao,te,C/O issuance:
Owner/contractor called regarding the return of plans: - -______ Date:
Plans returned: ________ -- _____ . Received by'
No response from owner/contractor plans destroyed: